Individual
KIMBERLY MUND-WOLKENBREIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
448 E 1ST ST STE 137, SALIDA, CO 81201-2804
(719) 293-1934
Mailing address
448 E 1ST ST STE 137, SALIDA, CO 81201-2804
(970) 409-8884
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.0124448
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601802330
—
CO
Enumeration date
07/24/2017
Last updated
11/07/2022
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